Renata B Ptak, PA-C

NPI #1902955933 in Glendale, Wisconsin

Provider Information

NPI Number: 1902955933
Entity Type: Individual
Name: Renata B Ptak, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 9, 2007
Last Updated: Jun 30, 2020

Practice Location

Address: 2501 W SILVER SPRING DR
City: Glendale
State: Wisconsin
ZIP Code: 53209-4217
Phone: (414) 461-9250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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